Comparing the Effectiveness of Metacognitive Therapy and Assertiveness Training on Psychological Profile of Students with Foreign Language Anxiety

Document Type : Research Paper

Authors

1 Ph.D. Student, Department of Psychology, Department of Psychology, Faculty of Literature and Humanities, Urmia University , Urmia, Iran

2 Associate Professor, Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran

Abstract

This study aimed to compare the effectiveness of metacognitive therapy and assertiveness training on the psychological profile of students with foreign language anxiety. The research method was quasi-intervention with a pretest-posttest design and a control group. The statistical population of the study comprised all students with foreign language anxiety in junior high schools in Urmia, Iran. Of these, 60 were selected using a multi-stage cluster sampling method and randomly divided into two intervention groups (n=40) and a control (n=20) group. Data were collected by Foreign Language Classroom Anxiety (Horwitz, et al., 1986) and the Depression and Anxiety Stress Scale-21 (DASS-21). The results showed that both treatments had a significant effect on improving depression, anxiety, and stress in students with foreign language anxiety in the post-test and follow-up stages.
Introduction
One of the emotional components that have played a major role in psychological studies related to foreign language learning is Foreign Language Anxiety (FLA) (Jin, Zhang & MacIntyre, 2020). Students with FLA face many problems and stresses, and the psychological profile, comprising three disorders of depression, anxiety, and stress (Bujang, Musa, Liu, et al., 2015), is the most common disorder among these students (Castillejo, 2019).
Metacognitive therapy (MT) is a new approach for treating psychological problems, but it is rarely observed for group therapy in research. It appears necessary to conduct research on metacognitive group therapy in students with FLA and compare its effectiveness with assertiveness training (AT) that plays a key role in improving people’s quality of life so that we can help them find a more effective way to improve and treat psychological problems of students with FLA and enjoy a better mental health. Therefore, the present study seeks to answer the final question of whether metacognitive therapy and assertiveness training are significantly different with regard to their effect on the psychological profile of students with FLA.
Methodology
The research design was quasi-intervention with a pretest-posttest design and a control group. The statistical population of the study comprised all students with FLA in junior high schools in Urmia, Iran. Of these, 60 individuals were selected using a multi-stage cluster sampling method and randomly divided into two intervention groups (n=40) and a control group (n=20). During the treatment phase, five individuals in the intervention groups left the treatment before the end of the study. Finally, 55 individuals remained until the end of the intervention and evaluation. Data were collected by Foreign Language Classroom Anxiety (Horwitz, et al., 1986) and the Depression and Anxiety Stress Scale-21 (DASS-21). The questionnaires were first completed by all three groups. Then one of the intervention groups underwent metacognitive therapy for anxiety disorders (Wells, 2011) and the other intervention group received assertiveness training (Lin, Shiah, Chang, et al., 2004), but the control group did not receive any intervention.
The mean scores of pre-test, post-test, and follow-up reveal that the mean scores of psychological profile components of the students in the intervention groups decreased in post-test and follow-up. Meanwhile, the control group did not show significant changes among the three time points. To analyze the data, repeated measures ANOVA was used.
Table (2) shows that with the significance of F obtained in the between-groups source in depression (F = 16.83, P = 0.01), anxiety (P = 19.70, P = 0.01), and stress (F = 13.86, P = 0.01). There is a significant difference among the three measurement stages for depression, anxiety, and stress in the intervention and control groups (P <0.05).
The post hoc test showed that there was no significant difference between metacognition and assertiveness groups in the components of psychological profile (P> 0.05) and both interventions reduced the psychological profile of students with FLA, but the two interventions were not significantly different in terms of effectiveness.
Discussion
The results showed that both types of interventions reduced the psychological profile of students with FLA by almost the same amount. The similarities between the two treatments can justify the similar treatment outcomes. Metacognitive therapy can alleviate anxiety and stress by improving people's metacognitive knowledge and metacognitive experiences, and providing them with more accurate assessments and judgments of a person's cognitive status. A combination of these factors makes people feel they can better control their living conditions. As a result of this metacognitive feeling and experience, cognitive control, challenge, and tolerance are strengthened, which in turn improve metacognitive control strategies and coping styles in the individual. They also help individuals to challenge and control negative thoughts by coping and controlling problems and urge them to actively participate and not to avoid stressful and anxiety-inducing situations. (Torfayeh, Esmaeili & Yazdani, 2020). On the other hand, assertiveness training includes training behavioral skills that, in addition to empowering through focusing on skill deficiencies, cognitive reconstruction, changes in experiences, and sharing emotions, it minimizes negative emotions such as anger, anxiety, depression, and frustration (Fuspita, Susanti & Putri, 2018). This approach usually focuses on facilitating cognitive mediators that play a role in inhibiting anxiety (for example, influencing people's fear and feeling of guilt for expressing their own and others' needs and desires) (Eslami, et al., 2016).

Keywords


Abdelaziz, E. M., Diab, I. A., Ouda, M. M. A., Elsharkawy, N. B., & Abdelkader, F. A. (2020). The effectiveness of assertiveness training program on psychological wellbeing and work engagement among novice psychiatric nurses. In Nursing Forum, 55(3), 309-319.
Abood, M. H., & Abu-Melhim, A. R. H. (2015). Examining the effectiveness of group counseling in reducing anxiety for Jordanian EFL learners. Journal of Language Teaching and Research, 6(4), 749-757.
Afzali, A., Delavar, A., Borjali, A., & Mirzamayn, M. (2007). Psychometric characteristics of DASS-42 test based on a sample of high school students in Kermanshah. J Behav Sci Res, 5(2), 81-92.
Alotaibi, T. (2015). Combating anxiety and depression among school children and adolescents through student counselling in Saudi Arabia. Procedia-Social and Behavioral Sciences, 205, 18-29.
Amengual-Pizarro, M. (2018). Foreign language classroom anxiety among English for Specific Purposes (ESP) students. International Journal of English Studies, 18(2), 145-159.
Antúnez, Z., & Vinet, E. V. (2012). Escalas de depresión, ansiedad y Estrés (DASS-21): Validación de la Versión abreviada en Estudiantes Universitarios Chilenos. Terapia psicológica, 30(3), 49-55.
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., ... & Cuijpers, P. (2016). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network meta-analysis. Focus, 14(2), 229-243.
 Bollinger, A. (2017). Foreign language anxiety in traditional and distance learning foreign language classrooms.
Bujang, M. A., Musa, R., Liu, W. J., Chew, T. F., Lim, C. T., & Morad, Z. (2015). Depression, anxiety and stress among patients with dialysis and the association with quality of life. Asian journal of psychiatry, 18, 49-52.
Callesen, P., Reeves, D., Heal, C., & Wells, A. (2020). Metacognitive therapy versus cognitive Behaviour therapy in Adults with Major Depression: A parallel Single-Blind Randomised trial. Scientific Reports, 10(1), 1-10.
Castillejo, S. P. (2019). The role of foreign language anxiety on L2 utterance fluency during a final exam. Lang. Test. 36, 327–345.
Chapman, D., & Perry, G. (2008). Depression as major component of public health for older adults. Preventive Chronic Diseases; 5(1): A22.
Cuijpers, P., van Straten, A., Andersson, G., & van Oppen, P. (2010). Psychotherapy for depression in adults: a meta-analysis of comparative outcome studies. Focus, 8(1), 75-75.
Dewaele, J-M., & MacIntyre, P. D. (2014). The two faces of Janus? Anxiety and enjoyment in the foreign language classroom. Studies in Second Language Learning and Teaching, 4(2), 237-272.
Dozois, D. J., & Dobson, K. S. (2004). The prevention of anxiety and depression: Theory, research, and practice. American Psychological Association.
Elaldi, S. (2016). Foreign Language Anxiety of Students Studying English Language and Literature: A Sample from Turkey. Educational Research and Reviews, 11(6), 219-228.
Eslami, A. A., Rabiei, L., Afzali, S. M., Hamidizadeh, S., & Masoudi, R. (2016). The effectiveness of assertiveness training on the levels of stress, anxiety, and depression of high school students. Iranian Red Crescent Medical Journal, 18(1).
Faija, C. L., Reeves, D., Heal, C., Capobianco, L., Anderson, R., & Wells, A. (2019). Measuring the cognitive attentional syndrome in cardiac patients with anxiety and depression symptoms: Psychometric properties of the CAS-1R. Frontiers in Psychology, 10, 2109.
Fuspita, H., Susanti, H., & Putri, D. E. (2018). The influence of assertiveness training on depression level of high school students in Bengkulu, Indonesia. Enfermeria clinica, 28, 300-303.
Hagen, R., Hjemdal, O., Solem, S., Kennair, L. E. O., Nordahl, H. M., Fisher, P., & Wells, A. (2017). Metacognitive therapy for depression in adults: a waiting list randomized controlled trial with six months follow-up. Frontiers in psychology, 8, 31.
Haseth, S., Solem, S., Baardsen, G. S., Bjørnstad, E., Grøtte, T., & Fisher, P. (2019). Group Metacognitive Therapy for Generalized Anxiety Disorder: A Pilot Feasibility Trial. Frontiers in psychology, 10, 290.
Hoffart, A., Johnson, S. U., Nordahl, H. M., & Wells, A. (2018). Mechanisms of change in metacognitive and cognitive behavioral therapy for treatment-resistant anxiety: The role of metacognitive beliefs and coping strategies. Journal of Experimental Psychopathology, 9(3), 2043808718787414.
Hojjat, S. K., Golmakani, E., Khalili, M. N., Chenarani, M. S., Hamidi, M., Akaberi, A., & Ardani, A. R. (2016). The effectiveness of group assertiveness training on happiness in rural adolescent females with substance abusing parents. Global journal of health science, 8(2), 156.
Horwitz, Elaine K.; Horwitz, Michael B.; Cope, Joann (1986). "Foreign Language Classroom Anxiety". The Modern Language Journal. 70 (2): 125–132.
Jaleniauskiene, E. (2016). Revitalizing foreign language learning in higher education using a PBL Curriculum. Procedia-Social and Behavioral Sciences, 232, 265-275.
Jin, Y., Zhang, L. J., & MacIntyre, P. D. (2020). Contracting students for the reduction of foreign language classroom anxiety: An approach nurturing positive mindsets and behaviors. Frontiers in Psychology, 11.
Joormann, J., & Quinn, M. E. (2014). Cognitive processes and emotion regulation in depression. Depression and anxiety, 31(4), 308-315.
Kabigting, R., & Nanud, J. A. (2020). English Language Classroom Anxiety and Performance of Senior High School Learners. International Journal of Linguistics and Translation Studies, 1(2), 58-69.
Kaplan, H. I & Sadock, B. J.(2015). Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Translator, ganji, H. (2015). Tehran: Savalan. (Text in Persian).
Khanjani Z, Aliloo M M, fakhari A, Abdolpour G.( 2016). the effectiveness of meta-cognitive therapy on Anxiety and depression in patients with post-traumatic stress disorder. Stud Med Sci, 27 (3) :222-230.(text in Persian)
Khawaja, N. G., Chan, S., & Stein, G. (2017). The Relationship Between Second Language Anxiety and International Nursing Students Stress. Journal of International Students, 7(3), 601-620.
Khurshid, S., Parveen, Q., Yousuf, M. I., & Chaudhry, A. G. (2007). EFFECTS OF DEPRESSION ON STUDENTS’ACADEMIC PERFORMANCE. psychiatry, 903, 912.
Kilic, N., Eryilmaz, A., & Dinc, S. Y.(2018). Effectiveness of Psychoeducational Group Training on Turkish EFL Learners’ English Speaking Anxiety. Hacettepe University Journal Of Education, 33(4), 1020-1037.
Kruk, M. (2018). Changes in foreign language anxiety: A classroom perspective. International Journal of Applied Linguistics, 28(1), 31-57.
Lawrence, D., Johnson, S., Hafekost, J., Boterhoven de Haan, K., Sawyer, M., Ainley, J., & Zubrick, S. R. (2015). The mental health of children and adolescents: Report on the second Australian child and adolescent survey of mental health and wellbeing.
Lin YR, Shiah IS, Chang YC, Lai TJ, Wang KY, Chou KR. Evaluation of an assertiveness training program on nursing and medical students’ assertiveness, self-esteem, and interpersonal communication satisfaction. Nurse Educ Today. 2004; 24(8):656-65.
Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy, 33(3), 335-343.
Luo, H. (2013). Foreign language anxiety: Past and future. Chinese Journal of Applied Linguistics, 36(4), 442-464.
Ma, S. H., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of consulting and clinical psychology, 72(1), 31.
Matsuda, S., & Gobel, P. (2002). Quiet apprehension: Reading and classroom anxieties. JALT JOURNAL, 23(2), 227-247.
Mulder, R., Murray, G., & Rucklidge, J. (2017). Common versus specific factors in psychotherapy: opening the black box. The Lancet Psychiatry, 4(12), 953-962.
Navidian, A., Ebrahimitabas, E., Esmaili, G., Yousefi, N., & Arbabisarjou, A. (2015). Comparison of the Effectiveness of Two Family Therapy Approaches Based on Mindfulness therapy and Metacognitive therapy on Marital Intimacy among Divorce Applicant Clients. International Archives Of Medicine, 8, No. 174, 1-17.
Ng, L.S., Shaari, A. H., & Yeap, C. K.(2018). Negative Emotional Experiences in Second Language Learning: A Study of Autobiographical Narratives among Chinese ESL Learners. International Journal of Humanities and Social Science, 5(4), 11-17.
Nishanthi, R. (2018). Important of learning English in today world.;3(1), 871-874.
Normann, N., & Morina, N. (2018). The efficacy of metacognitive therapy: a systematic review and meta-analysis. Frontiers in psychology, 9, 2211.
Omura, M., Maguire, J., Levett-Jones, T., & Stone, T. E. (2016). Effectiveness of assertive communication training programs for health professionals and students: a systematic review protocol. JBI database of systematic reviews and implementation reports, 14(10), 64-71.
 Pérez Castillejo, S. (2019). The role of foreign language anxiety on L2 utterance fluency during a final exam. Language Testing, 36(3), 327-345.
Peyman, S., & Sadighi, F. (2011). The Relationship between Iranian EFL Learners' Stress and Their Reading Comprehension. Journal of Pan-Pacific Association of Applied Linguistics, 15(1), 67-90.
Rahimian Boogar, E., Shareh, H., Habibi Askarabad, M., Alli Besharat, M. (2007). Effect of Assertiveness Training Methods on Social Adjustment. Educational Innovations, 6(4), 29-54.(text in Persian)
Russell, V. (2020). Language anxiety and the online learner. Foreign Language Annals, 53(2), 338-352.
Sabzian, S. (2014).  Effectiveness of meta- cognitive therapy on depression in daughters students of martyr and witness families. Military Psychology, 5(19), 41-50.(text in Persian)
Sarkova, M., Bacikova‐Sleskova, M., Orosova, O., Madarasova Geckova, A., Katreniakova, Z., Klein, D., ... & van Dijk, J. P. (2013). Associations between assertiveness, psychological well‐being, and self‐esteem in adolescents. Journal of Applied Social Psychology, 43(1), 147-154.
Spada, M. M., Nikčević, A. V., Moneta, G. B., & Wells, A. (2008). Metacognition, perceived stress, and negative emotion. Personality and Individual Differences, 44(5), 1172-1181.
Speed, B. C., Goldstein, B. L., & Goldfried, M. R. (2018). Assertiveness training: A forgotten evidence‐based treatment. Clinical Psychology: Science and Practice, 25(1), e12216.
Stuart, G. W. (2014). Principles and practice of psychiatric nursing-e-book. Elsevier Health Sciences.
Subekti, A. S. (2018). Investigating the Relationship between Foreign Language Anxiety and Oral Performance of Non-English Major University Students in Indonesia. Dinamika Ilmu, 18(1), 15-35.
Sun, X., Zhu, C., and So, S. H. W. (2017). Dysfunctional metacognition across psychopathologies: a meta-analytic review. Eur. Psychiatry 45, 139–153
Swain, M. (2013). The inseparability of cognition and emotion in second language learning. Language Teaching, 46(2), 195-207.
Thorslund, J., McEvoy, P. M., & Anderson, R. A. (2020). Group metacognitive therapy for adolescents with anxiety and depressive disorders: A pilot study. Journal of Clinical Psychology, 76(4), 625-645.
Torfayeh, M., Esmaeili, M., & Yazdani, M. (2020). Effectiveness of metacognitive therapy on psychological hardiness of students. Health Education and Health Promotion, 8(2), 0-0..
Wells, A. (2011). Metacognitive therapy for anxiety and depression. Guilford press.
Wells, A., & Papageorgiou, C. (2001). Brief cognitive therapy for social phobia: a case series. Behaviour Research and Therapy, 39(6), 713-720.
Wells, A., Welford, M., King, P., Papageorgiou, C., Wisely, J., & Mendel, E. (2010). A pilot randomized trial of metacognitive therapy vs applied relaxation in the treatment of adults with generalized anxiety disorder. Behaviour research and therapy, 48(5), 429-434.
World Health Organization. (1994). The development and dissemination of life skills-education and overview division of mental health. WHO technical report series, 86.
Xiao, Y., & Wong, K. F. (2014). Exploring heritage language anxiety: A study of Chinese heritage language learners. The Modern Language Journal, 98(2), 589-611.
Zheng, Y., & Cheng, L. (2018). How does anxiety influence language performance? From the perspectives of foreign language classroom anxiety and cognitive test anxiety. Language Testing in Asia, 8(1), 1-19.